Veidlapa Nr. M-3 (8)
Study Course Description

Clinical Trials

Main Study Course Information

Course Code
MDAK_076
Branch of Science
Clinical medicine; Health care sciences and services
ECTS
3.00
Target Audience
Nursing Science
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Nursing and Obstetric Care
Contacts

Riga, 26a Anniņmuižas boulevard, mdak@rsu.lv, +371 67061568

About Study Course

Objective

Deepen student understanding of the clinical research planning, management, documentation and reporting of results according to the international ethical and quality standards. Acquire basic principles of a good clinical practice. Acquire knowledge on the rights and obligations of trail subjects. Facilitate the acquirement of knowledge and skills in the field of clinical research and be able to use the appropriate professional terminology.

Preliminary Knowledge

Basic principles of quality assurance, scientific article research and analysis skills.

Learning Outcomes

Knowledge

1.As a result of the completion of the study course, students will acquire knowledge and understanding of planning, organising, managing, documenting clinical trials and reporting results in accordance with international standards of ethics, quality and good clinical practice. Students will learn the basic principles of good clinical practice, professional terminology, and understand the rights, responsibilities and responsibilities of the parties and subjects involved in the study. At the end of the course, students will be able to link theoretical knowledge with practical examples, apply clinical trial methods in a reasoned manner and develop a research protocol.

Skills

1.During the course, students will learn appropriate professional terminology and develop the ability to use it in the context of clinical trials. Students will be able to link theoretical knowledge to practical examples of clinical trials, reasonably justify the chosen study approach and apply clinical trial methods to the development of the research protocol.

Competences

1.After completion of the course, students will be able to analyse the structure of the clinical trial, evaluate the ethical and methodological aspects of the study, describe the principles of documentation and data management of the study, as well as prepare and present the clinical trial protocol in compliance with the requirements of research ethics, data protection, safety and quality.

Assessment

Individual work

Title
% from total grade
Grade
1.

Independent work No 1

20.00% from total grade
10 points

analysis of 3- 5 scientific articles on the topic of selected clinical trials

2.

Independent work No 2

20.00% from total grade
10 points

analysis of 3 - 5 scientific articles on the topic of selected clinical trials

Examination

Title
% from total grade
Grade
1.

Clinical trial protocol

50.00% from total grade
10 points

Clinical trial protocol and its presentation

2.

Self-test tests

10.00% from total grade
10 points

Tests in e-studies on theoretical topics of the course

Study Course Theme Plan

FULL-TIME
Part 1
  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Experimental study aims and history.
Description

In a lecture titled “The history, goals and meaning of experimental Research,” students explore the evolution of experimental research in healthcare and medicine, from early observations to modern clinical trial standards. The role of experimental research in evaluating the effectiveness and safety of new treatments, medicines, medical technologies and care interventions is being looked at.

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Design and methodology of clinical trials, phases
Description

In lectures on the design, methodology and phases of clinical trials, students acquaint themselves with the basic principles of clinical trial planning, the main study designs and their application in healthcare research. Clinical trial phases, their objectives, participant engagement principles, data acquisition and evaluation approaches and methodological aspects that ensure the scientific quality, reliability and safety of the study are considered.

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Ethics of Biomedicine and clinical trials
Description

In the lecture “ethical aspects in Biomedical and Clinical trials,” students acquaint themselves with the key principles of research ethics to be followed when planning and implementing research with human involvement. The protection of subjects’ rights, safety, dignity, privacy and goodwill and the importance of informed consent in clinical trials are addressed.

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Monitoring of clinical trials and data management
Description

In the lecture “monitoring of clinical trials and data Management”, students acquaint themselves with the principles of quality assurance, monitoring and documentation of clinical trials. The role of study monitoring in the protection of participant safety, compliance with protocol requirements, assurance of data reliability and compliance of study progress with the requirements of good clinical practice shall be considered.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
2

Topics

Pharmacovigilance basics.
Description

In the “basics of Pharmacovigilance” class, students acquaint themselves with the importance of pharmacovigilance in clinical trials and healthcare, with a particular focus on monitoring the safety of medicines, recognising, documenting and reporting adverse reactions. Basic concepts of pharmacovigilance such as adverse event, serious adverse event, adverse drug event and unexpected adverse event are considered.

In the practice, students analyze examples and situations where patient safety needs to be evaluated, different types of adverse events should be distinguished, and reporting needs determined. The lesson develops the ability to apply pharmacovigilance principles to clinical trial documentation and understand the responsibility of the research team to ensure the safety of participants.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
2

Topics

Risk management in clinical trials.
Description

In the “risk Management in Clinical trials” class, students acquaint themselves with the importance of risk management in planning and implementing clinical trials, paying particular attention to ensuring participant safety, data quality and study compliance. The principles of good clinical practice, the responsibility of the research team, identification, evaluation, mitigation and monitoring of risks throughout the duration of the study are considered.

In the practice, students analyze potential risks in the clinical trial protocol, such as participants’ safety risks, data gaps, protocol deviations, documentation errors, and failure to comply with ethical requirements. The lesson develops the ability to apply the principles of good clinical practice and develop risk mitigation measures to ensure the quality of the study, the protection of participants’ rights and the reliability of the data obtained.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
2

Topics

Clinical trials of medical devices.
Description

In the “Clinical trials of Medical devices” class, students become acquainted with the specificities of clinical trials of medical devices, the principles of planning, implementation, documentation and supervision thereof. Differences between clinical trials of medicinal products and medical devices, classification of medical devices, evaluation of safety and performance, as well as regulatory and ethical requirements for conducting such studies are considered.

In the practice, students analyze examples of medical device studies, evaluate potential risks to the patient, study design specificities, data collection requirements, and principles for reporting adverse events. The lesson develops the ability to understand the specificities of medical device studies and apply the principles of clinical trial methodology, good clinical practice and patient safety in the evaluation of medical devices.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
2

Topics

Audits and inspections in clinical trials.
Description

In the lesson “audits and inspections in clinical trials”, students acquaint themselves with the importance of audits and inspections in ensuring the quality, safety and compliance of clinical trials. It is considered how audits and inspections help assess the conformity of the research process with the protocol, good clinical practice requirements, regulatory enactments and quality standards of the research documentation.

In the practice, students analyze more common discrepancies in clinical trials, such as incomplete documentation, protocol deviations, insufficient informed consent process, data discrepancies, and safety reporting delays. The lesson develops the ability to prepare for an audit or inspection, identify potential quality risks and understand the responsibility of the research team in implementing corrective and preventive actions.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
2

Topics

Indicators of health outcomes in clinical trials.
Description

In the lesson “Health outcomes indicators in Clinical trials”, students become acquainted with the importance of health outcomes indicators in the planning, implementation and interpretation of clinical trials. Primary and secondary outcome indicators, clinical, patient reported and functional outcomes are considered, as well as the role of their choice in achieving the objective of the study and ensuring the reliability of the results.

In the practice, students analyze examples of clinical trials, identify the outcome indicators used in them, and evaluate whether they are consistent with the purpose of the study, the design of the study, and the group of participants. The lesson develops the ability to formulate, justify and critically evaluate the health outcomes indicators to be used in the clinical trial protocol.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
2

Topics

Management of investigational drugs and data.
Description

In the lesson “Management of investigational medicinal products and data”, students acquaint themselves with the basic principles for the circulation of investigational medicinal products and the management of clinical trial data. Consideration is given to receiving, storing, dispensing, accounting, returning or destroying investigational medicinal products, as well as documentation requirements that ensure the traceability of the medicinal products and the safety of participants.

During the practice, students analyze situations related to the accounting of investigational medicinal products, temperature control requirements, dose issuance, documentation of non-compliances and compliance with protocol requirements. At the same time, we are looking at the principles of data management: data collection, input, verification, correction, storage, confidentiality and traceability. The lesson develops the ability to ensure correct management of investigational medicinal products and data in accordance with the requirements of good clinical practice.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
2

Topics

Study population, selection principles, sample size determination
Description

In the lesson “study population, selection principles, sample size determination”, students acquaint themselves with the basic principles of the definition of the study population, selection of participants and sample selection in clinical trials. The concepts of target population, available population and study sample are considered, as well as the role of inclusion and exclusion criteria in ensuring the quality, safety and generalizability of the study results.

In the practice, students analyze examples of clinical trials, evaluate participants’ selection criteria, and discuss sample representativeness, selection errors, and possible prejudices. The basic principles for determining sample size are also considered, including the importance of the study objective, outcome indicators, statistical capacity and expected withdrawal of participants. The lesson develops the ability to correctly define the study population, develop selection criteria, and argue for sample selection in the clinical trial protocol.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
2

Topics

Clinical trial protocol.
Description

In the lesson “Clinical study Protocol” students present the clinical trial protocols developed during the course and justify the chosen topic, topicality, purpose, tasks, study design, population, selection criteria, outcome indicators, data acquisition and analysis plan, as well as ethical and safety aspects of the study.

During the lesson, students demonstrate the ability to present their research intention in a structured and reasoned manner, link theoretical knowledge to practical protocol development and answer questions about methodological, ethical and organisational solutions. The lesson serves as a final examination of the course, in which the student’s ability to independently develop, justify and defend the clinical trial protocol is assessed.

Total ECTS (Creditpoints):
3.00
Contact hours:
24 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Starptautiskās harmonizācijas konferences (ICH/CPMP/135/35) norādījumi par labu klīnisko praksi_latviski

2.

ICH E6 (R3) Good clinical practiceSuitable for English stream

3.

Love SB, Yorke-Edwards V, Ward E, Haydock R, Keen K, et al. What is the purpose of clinical trial monitoring? Trials. 2022 Oct 1;23(1):836. PMID: 36183080; PMCID: PMC9526458.Suitable for English stream

Additional Reading

1.

Friedman, L.M., Furberg, C.D., DeMets, D.L. Fundamentals of Clinical Trials. Springer, 2015, p.445Suitable for English stream

2.

Fundamentals of clinical trial designSuitable for English stream

3.

Clinical trials data baseSuitable for English stream

4.

Jones CT, Griffith CA, Fisher CA, Grinke KA, et al. Nurses in clinical trials: perceptions of impact on the research enterprise. J Res Nurs. 2022 Mar;27(1-2):50-65. Epub 2022 Apr 1. PMID: 35392186; PMCID: PMC8980586.Suitable for English stream

5.

Lesley Wilkes, Debra Jackson, Charmaine Miranda, Roger Watson. The role of clinical trial nurses: An Australian perspective, Collegian, Volume 19, Issue 4, 2012, Pages 239-246. https://doi.org/10.1016/j.colegn.2012.02.005.Suitable for English stream

6.

A scoping review of nurse-led randomised controlled trialsSuitable for English stream

7.

Guidance note on the collection and use of data for LGBTIQ equalitySuitable for English stream

8.

Klatte K, Pauli-Magnus C, Love SB, Sydes MR, Benkert P, et al. Monitoring strategies for clinical intervention studies. Cochrane Database Syst Rev. 2021 Dec 8;12(12):MR000051. doi: 10.1002/14651858.MR000051.pub2. PMID: 34878168; PMCID: PMC8653423.Suitable for English stream

9.

Síle F. Molloy, Patricia Henley. Monitoring clinical trials: a practical guide.Suitable for English stream

10.

Ethical considerations for clinical trials on medicinal products conducted with minors

Other Information Sources

1.

Ministru kabineta noteikumi Nr.289 Rīgā 2010.gada 23.martā (prot. Nr.15 34.§) Noteikumi par zāļu klīniskās izpētes un lietošanas novērojumu veikšanas kārtību, pētāmo zāļu marķēšanu un kārtību, kādā tiek vērtēta zāļu klīniskās izpētes atbilstība labas klīniskās prakses prasībām.

2.

Zāļu valsts aģentūra

3.

EMASuitable for English stream

4.

Clinical trialsSuitable for English stream

5.

Discussion The research nurse’s role in managing patient expectation in clinical trialsSuitable for English stream

6.

Roles of nurses in clinical trialsSuitable for English stream

7.

Good Clinical Practice Guidance and Pragmatic Clinical Trials: Balancing the Best of Both WorldsSuitable for English stream

8.

Gender identity, gender-based violence and human rightsSuitable for English stream

9.

Breaking the Cycle of Gender-based ViolenceSuitable for English stream